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Immune system versus tumor: shifting the balance in favor of DCs and effective immunity
Howard L. Kaufman, Mary L. Disis
Howard L. Kaufman, Mary L. Disis
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Commentary

Immune system versus tumor: shifting the balance in favor of DCs and effective immunity

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Abstract

Despite the initial excitement over cancer vaccines, the clinical effectiveness of immunotherapy has been disappointing. The suppressive milieu present within established tumors inhibits effective immune responses, although new strategies are emerging to manipulate the local tumor microenvironment and shift the balance back to a proinflammatory environment, promote DC activation, and enhance tumor immunity .

Authors

Howard L. Kaufman, Mary L. Disis

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Figure 3

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Following successful immunization, the tumor microenvironment is dramati...
Following successful immunization, the tumor microenvironment is dramatically altered. DC maturation occurs, and the DCs are induced to express strong costimulatory molecules able to effectively prime CD4 and CD8 T cell responses. When CD4 T cells are skewed to a Th1 phenotype, they further promote T cell priming and alter the local cytokine environment by releasing proinflammatory cytokines, such as IFN-γ and IL-12. This environment is favorable for tumor cell recognition and results in tumor rejection.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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